Organization
SOUTHERN TIER COMMUNITY HEALTH CENTER NETWORK, INC.
Active
Other names
Universal Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
BRETT LAWTON (CEO)
(716) 375-7500
Entity
Organization
Contact information
Practice address
135 N UNION ST, OLEAN, NY 14760-2736
(716) 375-7500
(716) 701-6853
Mailing address
135 N UNION ST, OLEAN, NY 14760-2736
(716) 375-7500
(716) 701-6854
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
0401201R
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02587231
—
NY
Enumeration date
07/03/2006
Last updated
09/01/2021
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